Nose Fillers, At A Glance
- Best ResultsImmediate
- Treatment RecoveryImmediate, no downtime
- Procedure Time15 to 30 minutes
- Skin SpecialistDermatologist, Davin Lim
- Duration of Results12 -24 months
- AnaestheticNumbing within the filler
- Back to WorkImmediately
Nose Reshaping - Dermal Fillers
Non-surgical rhinoplasty using hyaluronic acid fillers can provide three-dimensional enhancement of the nose. Results are instant, with no downtime. Fillers typically last beyond 12 months in this location. Midline placement of fillers can reduce the ‘width’ of the nose, supratip placement can sharpen the nose, whilst fillers at the base can reduce splaying of the nostrils. Fillers can also hide any bumps & straighten the nose.
FactsFacts on Nose Fillers / Filler Rhinoplasty
- Hyaluronic acid can shape almost every aspect of the profile of a nose
- Treatments take less than 30 minutes to perform & are instantaneous
- Filler can smooth out bumps in your nose
- Fillers can make the tip of your nose more prominent
- Filler can smooth out bumps in your nose
- Non-surgical rhinoplasty can add volume to your nose
- Nose fillers can lift the nasal tip
- Make your nose appear smaller
Can one reshape the nose without surgery?
A gel-like injectable ingredient known as hyaluronic acid is inserted underneath your skin in the areas where you wish to create smoother lines or volume. I can reshape the nose smoothing out bumps and asymmetry, even after surgical rhinoplasty. Fillers can enhance your side, oblique & front profile.
Strategic placement of fillers in the base, sides, tip, & top can add a three-dimensional modelling to the nose. This is known as a ‘liquid rhinoplasty.’
What is Asian non-surgical rhinoplasty?
This procedure is to give more shape to noses, mainly the bridge of the nose. Ethnics often have a less projected nasal bridge, with dermal fillers we can strengthen the bridge, giving better shape, projection & definition.
The nasal tip can be projected & defined using HA fillers in this area. The result is a sharper nose. In addition, the nasal spine can be enhanced with medial placement of HA filler. This results in better projection as well as a slight narrowing from alar to alar.
How long do nose fillers last?
Approximately 12-24 months, depending on the product used. Over time, your body naturally metabolizes hyaluronic acid. Since our bodies metabolize the filler, most patients undergo touch ups every 12- 24 months to keep their non-surgical rhinoplasty looking its best. It is usual practice for the second filler session to last longer.
As a rule, I do not use fat transfer nor calcium hydroxy apatite in the nose due to fact that these cannot be reversed should an arterial occlusion happen.
How does adding dermal fillers to the nose reduce a big nose?
By creating an illusion. I can highlight the tip & sharpen the nose. This gives an illusion that the nose is smaller.
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Which dermal filler is best for the non-surgical rhinoplasties?
Hyaluronic acid fillers are used for this area. This family of dermal fillers can reshape contours as they are malleable, additionally they are reversible.
I do perform other types of dermal fillers including calcium hydroxyl apatite & Poly-L-Lactic Acid. These fillers are not reversible, and hence I do not use these two fillers for non-surgical rhinoplasty.
Is the procedure painful?
Dermal fillers are well tolerated with minimal discomfort as fillers contain local anaesthetic. The exception is the nasal tip as this region is sensitive; a numbing cream is used in this area.
What is the recovery process like following fillers to this area?
Minimal recovery required as fillers are placed deeply. Bruising is rare. One can reduce the likelihood of bruise by stopping- Anti-inflammatories, Aspirin, Fish Oil, Vitamin E & other blood thinners for 12 days prior to the procedure.
After liquid rhinoplasty, you may experience mild pain, swelling, and redness where your injection was inserted. Within an hour or two, the injection should start to settle. The redness should start to subside, and you’ll be able to better see your desired results.
As far as downtime, people who swear by liquid rhinoplasty love that there’s practically no recovery time. You can be back to work the very same day. I ask my patients to refrain from heavy exercise for 24 hours. No goggles (swimming – diving- respirator masks) for 5 days.
Are nose fillers safe?
The nose area carries higher risks for vascular compromise compared to other sites on the face. This is due to the blood supply of the area. Injecting with a cannula, following the midline areas as well as slow injection technique will reduce but not eliminate the risks of vascular compromise. This risk benefit ratio will be discussed in detail prior to filler placement.
As a dermatologist who specializes in scar revision, I occasionally inject the alar (lateral or sides of the nose) for the correction of significant scars. Treating atrophic scars secondary to cancer excision or revision of surgical rhinoplasties are examples. Scar tissue adds another dimension of risks & hence it is advisable to wait 12 months or more after your surgical procedure before attempting filler.
What happens if I am not happy with the results of dermal fillers?
HA fillers are reversible with an enzyme called Hyalse. Careful placement of dermal fillers will markedly reduce misplacement and over correction. It is super important to communicate with the patient to understand their perception before, during and after the procedure.
In some cases, you as the patient control the correction aesthetics as I start and stop the procedure to ensure you are comfortable with the results.
How does a dermal filler rhinoplasty compare to a surgical rhinoplasty?
Finding the correct answer is not straight forward as there are pros & cons of each treatment.
Pros of nonsurgical rhinoplasty
- Nonsurgical rhinoplasty allows you to avoid going under general anesthesia and will save you a stay in hospital. The procedure takes less than 15 minutes.
- You’ll have a quick recovery.
- After this procedure, you can return to work and your regular activities as the same or next day.
- Results aren’t permanent, so if you’re not pleased with how it looks, it’s just a matter of time before the fillers metabolize. Alternatively an enzyme can reverse the nose job within 24 hours of injection.
- The cost of nonsurgical filler rhinoplasty is much lower than a traditional rhinoplasty.
Cons of nonsurgical rhinoplasty
- If you’re looking for a dramatic, permanent change to your appearance, this procedure might be disappointing for you.
- There are side effects, such as bruising and swelling. Rare side effects include arterial occlusion.
- There’s the possibility that a misplaced needle could result in visible bleeding under your skin or damage to your vision.
- Liquid rhinoplasty does not correct breathing problems associated with septal deviation.
Pros of traditional rhinoplasty
- The results of traditional rhinoplasty are bold and permanent.
- You won’t need another procedure to “re-up” or “refresh” the results in a few months or years.
- Insurance could possibly cover it if you have a related medical issue, such as breathing difficulties.
Cons of traditional rhinoplasty
- If you don’t like the result, there’s not much else you can do besides wait for it to heal and then get another rhinoplasty. Revision procedures are relatively common and range between 10-25% of rhinoplasties.
- This procedure is usually conducted in a hospital under general anesthesia.
- Risks of complications like infection are much higher.
- It costs significantly more than nonsurgical rhinoplasty.
- Unlike filler rhinoplasty, recovery is prolonged, often 2-4 weeks.
How much is this procedure?
As a guide $1190 to $1990, depending on the complexity of injections. My go to hyaluronic acid fillers include the range from Allergan, Merz & Teoxane.
Davin’s take on nose filler injections
Fillers have largely replaced surgical rhinoplasty of many, but not all ‘nose concerns.’ The majority of my nose procedures are focused on the nasal bridge & or bumps in this area. Though the risks of blood vessel compromise are higher on the nose compared to anywhere on the face, one can reduce but not eliminate risks by staying in the midline, proper injection technique and in some cases using cannulas for contouring.
Fillers can also enhance & sharpen the tip & support the base of the nose (nasal spine). Fillers enable 3D remodelling of almost every area on the nose. Injections are relatively quick (20-30 minutes), with virtually no downtime.
I always use HA fillers in this area as the risks of arterial compromise are somewhat higher in this area. Overall patient satisfaction rate is well over 95%
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